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Flexor Tendon Injuries
屈肌腱損傷
Overview(概述）
The flexor tendons of the hand are responsible for flexion of the fingers and thumb toward the palm. These long structures are connected to the flexor muscles in the forearm. An injury to one of these tendons can cause pain and inability to flex the finger or thumb and grasp with the hand. Common flexor tendon injuries include lacerations, ruptures and inflammation.
手部屈肌腱負責拇指和其它各指向手掌屈曲。這些長條形的結構連接到前臂屈肌。某根肌腱損傷會引起疼痛和無法彎曲手指或拇指以及用手抓握。常見屈指肌腱損傷包括割傷、斷裂和炎症。
Lacerations（割傷）
Cuts or penetrating trauma to the flexor tendons are frequently caused by accidents around the home or workplace. A laceration can sever a tendon, and can also injure other structures such as nerves and blood vessels that run parallel to the tendons. Commonly, a lacerated tendon retracts when severed, pulling away from the laceration site and slipping back through the tendon pulleys. Repairing a retracted tendon requires locating the ends and threading them back through the pulleys before they can be reattached.
屈肌腱的切割或穿透性損傷經常由家庭或工作場所的事故引起。切割傷可以切斷肌腱，也可以損傷其他結構，如平行於肌腱的神經和血管。通常，切斷的肌腱在斷裂時會回縮，從切斷部位拉出並通過腱紐滑回。修復縮回的肌腱需要找到斷端，並將它們從腱紐穿回後再重新連接。
Ruptures（撕裂）
Ruptures of the tendons are often caused by sports such as football or rugby, which require tackling. A common type of rupture, called a Jersey finger, is a rupture of the tendon at the fingertip.
肌腱斷裂通常由足球或橄欖球等需要搶斷球的運動引起。一種常見類型的斷裂，稱為澤西手指，是指尖處肌腱的斷裂。
Inflammation（炎症）
Inflammation and spontaneous rupture of the flexor tendons can be caused by inflammatory conditions such as rheumatoid arthritis.
炎症和自發性屈肌腱斷裂可由炎性疾病如類風溼性關節炎引起。
Symptoms（症狀）
The most common symptoms for tendon laceration or rupture are pain and an inability to flex the finger. Swelling and bruising may also be present, but are less common. Symptoms for tendon inflammation can include pain, swelling, and limited range of motion.
肌腱斷裂或撕裂最常見的症狀是疼痛和無法彎曲手指。可能會出現腫脹和瘀傷，但不太常見。肌腱炎症的症狀包括疼痛、腫脹和活動範圍受限。
Treatment（治療）
For flexor tendons that have been strained, treatment can include rest, anti-inflammatory medications, and often hand therapy. Tendons that have been cut or ruptured will require surgery to restore full use of the affected finger.
對於屈肌腱拉傷，治療包括休息、消炎止痛藥，並常用手部康復治療。肌腱切割傷或斷裂需要手術來恢復患指的正常功能。
（胡佰文 譯）
相關閱讀：
中英文字幕：指尖損傷（Fingertip Injuries)
中英文字幕：手指關節融合（Finger Joint Fusion ）
中英文字幕：手指骨折的固定（Finger Fracture Fixation）
中英文字幕：手指骨折（Finger Fracture）
中英文字幕：膿性指頭炎（Finger Felon)
中英文字幕：手指黏液囊腫（Digital Mucous Cysts）
中英文字幕：鈕孔畸形（ Boutonniere Deformity）
中英文字幕：動物咬傷(Animal Bites)
中英文字幕：膿性指頭炎引流（Finger Felon Drainage）
中英文字幕：掌腱膜攣縮症（ Dupuytren's Disease）
中英文字幕：掌側鋼板修復橈骨遠端骨折Distal Radius Fracture Repair with Volar Plate
中英文字幕：橈骨遠端骨折（Distal Radius Fracture）
中英文字幕：德奎爾萬腱鞘炎（ De Quervain’s Tenosynovitis）
中英文字幕：德奎爾萬腱鞘炎松解（De Quervain’s Release）
中英文字幕：複雜的區域疼痛症候群（Complex Regional Pain Syndrome）
中英文字幕：柯雷氏骨折（Colles Fractures）
中英文字幕：腕管松解術（開放技術）（ Carpal Tunnel Release ，Open Technique）
中英文字幕：拳擊手骨折（ Boxer's Fracture）
中英文字幕：基底關節手術（Basal Joint Surgery）
中英文字幕：基底關節骨關節炎（Basal Joint Osteoarthritis）
中英文字幕： 腕管症候群（Carpal Tunnel Syndrome）
中英文字幕：關於手外科（About Surgery of the Hand）
英漢對照骨科患者指南036：手部解剖
中英文字幕：腕管症候群(Carpal Tunnel Syndrome)
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